Evidence map›Paper›PMID 30509172›Full record

ArticleBMC genomics2018

Genome-wide comparison of Corynebacterium diphtheriae isolates from Australia identifies differences in the Pan-genomes between respiratory and cutaneous strains.

Verlaine J Timms, Trang Nguyen, Taryn Crighton, Marion Yuen, Vitali Sintchenko

Open access · goldAbstract read
In one paragraph

Article in BMC genomics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.7field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 32 citations in OpenAlex.

  1. Diphtheria outbreak, Northern Territory of Australia, 2025 to 2026.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2026
    Article
  2. Article
  3. Article
  4. Cluster of Nontoxigenic Corynebacterium diphtheriae Infective Endocarditis and Rising Background C. diphtheriae Cases-Seattle, Washington, 2020-2023.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
    Article
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  9. Genomic Analysis ofInternational journal of molecular sciences · 2023
    Article
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  11. Genomic Epidemiology and Strain Taxonomy ofJournal of clinical microbiology · 2021
    Article
  12. Article
  13. Genomic epidemiology of nontoxigenicMicrobial genomics · 2020
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  15. Article
  16. Article
  17. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Verlaine J TimmsCentre for Infectious Diseases and Microbiology, Westmead Hospital, PO Box 533, Wentworthville, NSW, 2145, Australia. verlaine.timms@health.nsw.gov.au.ORCID http://orcid.org/0000-0002-3883-4428
Trang NguyenCentre for Infectious Diseases and Microbiology Laboratory Services, ICPMR-Pathology West, Sydney, Australia.
Taryn CrightonCentre for Infectious Diseases and Microbiology Laboratory Services, ICPMR-Pathology West, Sydney, Australia.
Marion YuenCentre for Infectious Diseases and Microbiology Laboratory Services, ICPMR-Pathology West, Sydney, Australia.
Vitali SintchenkoCentre for Infectious Diseases and Microbiology, Westmead Hospital, PO Box 533, Wentworthville, NSW, 2145, Australia.
The University of Sydney · AUWestmead Hospital · AU

Funding

NSW Ministry of Health Program Round 4
6 · The paper itself

Abstract

backgroundCorynebacterium diphtheriae is the main etiological agent of diphtheria, a global disease causing life-threatening infections, particularly in infants and children. Vaccination with diphtheria toxoid protects against infection with potent toxin producing strains. However a growing number of apparently non-toxigenic but potentially invasive C. diphtheriae strains are identified in countries with low prevalence of diphtheria, raising key questions about genomic structures and population dynamics of the species. This study examined genomic diversity among 48 C. diphtheriae isolates collected in Australia over a 12-year period using whole genome sequencing. Phylogeny was determined using SNP-based mapping and genome wide analysis.

resultsC. diphtheriae sequence type (ST) 32, a non-toxigenic clone with evidence of enhanced virulence that has been also circulating in Europe, appears to be endemic in Australia. Isolates from temporospatially related patients displayed the same ST and similarity in their core genomes. The genome-wide analysis highlighted a role of pilins, adhesion factors and iron utilization in infections caused by non-toxigenic strains.

conclusionsThe genomic diversity of toxigenic and non-toxigenic strains of C. diphtheriae in Australia suggests multiple sources of infection and colonisation. Genomic surveillance of co-circulating toxigenic and non-toxigenic C. diphtheriae offer new insights into the evolution and virulence of pathogenic clones and can inform targeted public health actions and policy. The genomes presented in this investigation will contribute to the global surveillance of C. diphtheriae both for the monitoring of antibiotic resistance genes and virulent strains such as those belonging to ST32.

Indexed as

Genome, BacterialAdolescentAdultAgedAged, 80 and overAustraliaCorynebacterium diphtheriaeDNA, BacterialFemaleGenome-Wide Association StudyHumansLungMaleMiddle AgedMultilocus Sequence TypingPhylogenyDNA, BacterialDiphtheriaMolecular epidemiologyPan-genome analysisVaccine preventable diseaseVirulenceWhole genome sequencing

Identifiers

PMID30509172
PMCPMC6278121
OpenAlexW2902719934

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.